Abstract:

Background: Implementation researchers have attempted to overcome the research-practice gap in e-health by
developing tools that summarize and synthesize research evidence of factors that impede or facilitate
implementation of innovation in healthcare settings. The e-Health Implementation Toolkit (e-HIT) is an example of
such a tool that was designed within the context of the United Kingdom National Health Service to promote
implementation of e-health services. Its utility in international settings is unknown.
Methods: We conducted a qualitative evaluation of the e-HIT in use across four countries–Finland, Norway,
Scotland, and Sweden. Data were generated using a combination of interview approaches (n = 22) to document
e-HIT users’ experiences of the tool to guide decision making about the selection of e-health pilot services and to
monitor their progress over time.
Results: e-HIT users evaluated the tool positively in terms of its scope to organize and enhance their critical
thinking about their implementation work and, importantly, to facilitate discussion between those involved in that
work. It was easy to use in either its paper- or web-based format, and its visual elements were positively received.
There were some minor criticisms of the e-HIT with some suggestions for content changes and comments about
its design as a generic tool (rather than specific to sites and e-health services). However, overall, e-HIT users
considered it to be a highly workable tool that they found useful, which they would use again, and which they
would recommend to other e-health implementers.
Conclusion: The use of the e-HIT is feasible and acceptable in a range of international contexts by a range of
professionals for a range of different e-health systems.

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